[NCCDPHP] Pregnancy Risk Assessment Monitoring System (PRAMS)

Forms and Documents

Document Name	Status

No forms / supporting documents in this ICR. Check IC Document Collections.

IC Document Collections

IC ID	Document Title	Status
257195	Submission of Data File to CDC Instruction	Unchanged
236591	PRAMS Stillbirth Questionnaire Form and Instruction	Modified
236590	PRAMS Field Test Form and Instruction	Removed
236589	PRAMS Call-back Surveys (with Opioid Call-back Survey Example) Form and Instruction	Removed
236588	PRAMS Supplemental Modules Form and Instruction	Modified
236587	PRAMS Phase 9 Questionnaires (Core Questions plus Jurisdiction-selected Standard Modules) Form and Instruction	Modified

ICR Details

OMB Control No: 0920-1273	ICR Reference No: 202602-0920-010
Status: Received in OIRA	Previous ICR Reference No: 202504-0920-014
Agency/Subagency: HHS/CDC	Agency Tracking No: 0920-1273
Title: [NCCDPHP] Pregnancy Risk Assessment Monitoring System (PRAMS)
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular	Date Submitted to OIRA: 03/09/2026

	Requested	Previously Approved
Expiration Date	36 Months From Approved	03/31/2026
Responses	105,300	108,240
Time Burden (Hours)	29,773	31,268
Cost Burden (Dollars)	0	0

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Abstract: Pregnancy Risk Assessment Monitoring System (PRAMS) is designed to collect jurisdiction-specific (states, cities, and U.S territories), population-based data on maternal behaviors and experiences before, during, and shortly after pregnancy. PRAMS is a jurisdiction customized survey conducted in 50 jurisdictions in the United States (U.S.). The data are used to identify groups of women and infants at high risk for health problems, monitor changes in health status, and measure progress towards state and national objectives in improving the health of mothers and infants. This Revision is submitted to request approval for an additional three years. Some components of the data collection have been completed (i.e., call back surveys, cognitive and field testing) resulting in reduced burden hours. Specifically, removal of call back surveys decreased annual burden by 1,395 hours and removal of cognitive and field testing decreased annual burden by 100 hours.

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Authorizing Statute(s): US Code: 42 USC 301 Name of Law: Public Health Service Act: Research and Investigations
   PL: Pub.L. 109 - 450 3 Name of Law: PREEMIE Act
   US Code: 42 USC 247b-12 Name of Law: Safe Motherhood and Infant Health
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	90 FR 52666	11/21/2025
30-day Notice:	Federal Register Citation:	Citation Date:
	91 FR 11314	03/09/2026
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 4

IC Title	Form No.	Form Name
PRAMS Call-back Surveys (with Opioid Call-back Survey Example)	n/a, n/a	PRAMS Opioid Call-back Survey (English) ,   PRAMS Opioid Call-back Survey (Spanish)
PRAMS Field Test	None	PRAMS Field Testing Questionnaire (English and Spanish)
PRAMS Phase 9 Questionnaires (Core Questions plus Jurisdiction-selected Standard Modules)	0920-1273, 0920-1273, 0920-1273, 0920-1273, 0920-1273, 0920-1273, 0920-1273, 0920-1273, 0920-1273, 0920-1273, 0920-1273, 0920-1273	Phase 9 Core Mail Questionnaire – English ,   Phase 9 Core Mail Questionnaire – Spanish ,   Phase 9 Core Phone Questionnaire – English ,   Phase 9 Core Phone Questionnaire – Spanish ,   Phase 9 Core Web Questionnaire – English ,   Phase 9 Core Web Questionnaire – Spanish ,   Phase 9 Standard Mail Questionnaire – English ,   Phase 9 Standard Mail Questionnaire – Spanish ,   Phase 9 Standard Phone Questionnaire – English ,   Phase 9 Standard Phone Questionnaire – Spanish ,   Phase 9 Standard Web Module – English ,   Phase 9 Standard Web Module – Spanish
PRAMS Stillbirth Questionnaire	0920-1273, 0920-1273, 0920-1273, 0920-1273	PRAMS Stillbirth Mail Questionnaire (English) ,   PRAMS Stillbirth Mail Questionnaire (Spanish) ,   PRAMS Stillbirth Phone Questionnaire (English) ,   PRAMS Stillbirth Phone Questionnaire (Spanish)
PRAMS Supplemental Modules	None, None, None, None, None, None, None, None, None, None, None, None	PRAMS Social Determinants of Health Supplement (mail and phone) ,   PRAMS Social Determinants of Health Supplement (web mode) ,   PRAMS COVID-19 Vaccine Supplement (mail and phone) ,   PRAMS COVID-19 Vaccine Supplement (web mode) ,   PRAMS COVID-19 Experience Supplement (mail and phone) ,   PRAMS COVID-19 Experience Supplement (web mode) ,   PRAMS Opioid Use Supplement (mail and phone) ,   PRAMS Opioid Use Supplement (web mode) ,   PRAMS Marijuana Use Supplement (mail and phone) ,   PRAMS Marijuana Use Supplement (web mode) ,   PRAMS Disabilities Supplement (mail and phone) ,   PRAMS Disabilities Supplement (web mode)
Submission of Data File to CDC

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ICR Summary of Burden

	Total Request	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	105,300	108,240	0	-2,940	0	0
Annual Time Burden (Hours)	29,773	31,268	0	-1,495	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: Revision package for 0920-1273 is submitted to request approval for an additional three years. Some components of the data collection have been completed (i.e., call back surveys, cognitive and field testing) resulting in reduced burden hours. Specifically, removal of call back surveys decreased annual burden by 1,395 hours and removal of cognitive and field testing decreased annual burden by 100 hours. Total burden is decreased to 29,773 annual burden hours.

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Annual Cost to Federal Government: $13,714,785

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Yes

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 03/09/2026

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